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Published on: October 24, 2019
Study of the relationship between pulse photoplethysmography amplitude decrease events and sleep apneas in children
Eduardo Gil1, José María Vergara, Pablo Laguna
1Commun. Technol. Group, Zaragoza Univ., Spain. edugilh@unizar.es
Insights
This study introduces a new method to analyze apnea effects on pulse photoplethysmography (PPG) signals. Results show a significant increase in PPG amplitude decreases during/after apnea, suggesting PPG
Area of Science:
- Biomedical Engineering
- Sleep Medicine
- Signal Processing
Background:
- Obstructive Sleep Apnea (OSAS) is a common disorder.
- Pulse photoplethysmography (PPG) is a non-invasive optical technique.
- Apnea events significantly impact physiological signals.
Purpose of the Study:
- To develop and validate an apnea detection method.
- To analyze the relationship between apnea events and PPG signal characteristics.
- To investigate the potential of PPG for OSAS diagnosis.
Main Methods:
- Developed a novel apnea detector using respiratory signals.
- Utilized a previously established decreases in PPG amplitude (DAP) detector.
- Analyzed DAP events in temporal windows relative to detected apneic events.
Main Results:
- The apnea detector achieved high sensitivity (95.3%) and specificity (94.4%).
- A significant increase (~15%) in DAP events was observed during/following apnea compared to pre-apnea windows.
- Demonstrated a clear association between apneic events and DAP events.
Conclusions:
- PPG signal alterations, specifically DAP events, are associated with apnea.
- PPG analysis holds promise as a non-invasive tool for sleep research and OSAS diagnosis.
Abstract:
In this work, a method to analyse the effects of an apnea on the pulse photoplethysmography signal (PPG) is proposed. Therefore, an apnea detector based on respiratory signals has been developed and a decreases in amplitude of PPG (DAP) detector developed in a previous study was used. The apnea detector was tested using real signals. S and +PV of the detector were 95.3% and 94.4%, respectively. For each of the apneic events, we analyzed the presence of DAP in a window previous to the apnea event and another during/following the apnea. An increase of about 15% in DAP events in the window during/following the apnea with respect to the previous to apnea window is produced. These results shows an association between apneic events and DAP events, which indicates that DAP events provide useful information in sleep research and PPG signals might be useful in the diagnosis of OSAS.
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